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South Dakota rates for HCPCS 69511

Mastoidectomy; radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,951.21 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,344.23 / $3,388.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $2,884.03